Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03037 | Date 03/11/2022 |
| Token No | SM/22-23/3992 03/11/2022 | Serial | 006 |
| Patient Name | Miss LAKHI GHOSH | Contact No | |
| Address | B B GHOSH ROAD SOCIETY MATH SERAMPORE 712203 | Age | 8 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 23 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||